Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Willis, PA

Individual provider Physician Assistant · NPI 1689415879

Daniel Willis, PA is a Physician Assistant in Parker, Colorado. Graduated from Rocky Vista University College of Osteopathic Med in 2025, 1 year ago. Licensed in Illinois.

Years since qualifying
1
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
IL
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

17297 Wilde Ave Unit 108
Parker, CO 80134-5626
Phone: (312) 659-3445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085012040 (IL)

Record details

NPI number1689415879
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address17297 Wilde Ave Unit 108, Parker, CO 80134-5626

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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